Organization
RESTORE AND CORE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN SHIEMBOB DPT (OWNER)
(413) 348-8247
Entity
Organization
Contact information
Practice address
6360 S 3000 E STE 210, SALT LAKE CITY, UT 84121-6972
(435) 615-8822
(435) 615-8823
Mailing address
6360 S 3000 E STE 210, SALT LAKE CITY, UT 84121-6972
(435) 615-8822
(435) 615-8823
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
10/12/2020
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